1. WILLIAM OSLER HEALTH SYSTEM Enterprise Risk Management An Osler Perspective Our vision is ‘to design health systems that serve the global community… driven by diversity’. Rita vanOosterhout, Director Enterprise Risk & Insurance September 20, 2010

2. Background Etobicoke General Hospital 269 beds 2,607 births 64,337 emergency visits 504 beds 4,639 births 85,017 emergency visits Peel Memorial Hospital Brampton Civic Hospital TBD

3. Peel has the second highest volume of new immigrants in the country The top home languages include: English, Punjabi, Urdu, Spanish, Portuguese, Arabic, Somali, Gujarati, Tamil, Hindi, and Chinese Peel … the child and youth population under 19 years of age is the second highest of any region in the province Key Facts

4. ERM Framework x HEALTH SYSTEMS THAT SERVE THE GLOBAL COMMUNITY Preserve and enhance reputational equity with internal and external stakeholders. PATIENT FINANCIAL PEOPLE SAFE ENVIRONMENT INFORMATION & TECHNOLOGY LEGAL & REGULATORY GOVERNANCE IDENTIFY NICATE RESPOND MONITOR & ASSESS & REPORT COMMU

5. How To Implement ERM? Conduct Risk Reviews –To identify key processes, risks, weaknesses, controls and tolerance –To promote accountability for the management of key risks while fostering a risk aware culture Approach –Involve appropriate personnel –Facilitate agreement of the priority of risks as well as mitigating actions and accountabilities –Formulate metrics to be used to identify trends/quantify risk Deliverable & Outcome –Engagement and ownership –Quantification of risk

6. Other Ongoing ERM Initiatives Obstetrical Insured Claims analysis Large Insurance losses to identify trends and risk factors. Critical Adverse Events Other Serious Incidents

7. Planned Metrics Risk Register – For Illustrative Purposes Only